Player Info:

 First Name:        Last Name:

Date Of Birth:    Gender: Male Female     Section: Canadian Seniors 65+ Canadian Veterans 50+ Canadian Amateur Over 2000 Canadian Amateur Over 1600 Canadian Amateur Over 1200 Canadian Amateur Rookie

Contact Info:

Street Address 1:    Street Address 2:

City:    Province:    Postal Code:

Contact Phone#:    Other Phone#:    Email:

Special Notes:



           

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